Summit Square Retirement Community
LBN: Sunnyside Presbyterian Home
Summit Square Retirement Community is an health care organization with primary practice located at 501 Oak Ave , Waynesboro VA 22980-4400. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Sunnyside Presbyterian Home can be contacted via phone (540) 941-3100, or through White, Paul via phone (540) 568-8237.
Contact Information
Primary practice address
501 Oak Ave
Waynesboro VA 22980-4400
Phone: (540) 941-3100
Fax: (540) 941-3330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 1022567 | Virginia |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH2740 | Virginia |
Profile Details
| NPI number | 1518956911 |
|---|---|
| LBN Legal business name | Sunnyside Presbyterian Home |
| DBA Doing business as | Summit Square Retirement Community |
| Authorized official | White, Paul |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | May 26th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518956911 | NPPES |
| Virginia | MEDICAID | 4954051 |
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